Talent.com
No longer accepting applications
VP, LTSS – Health Care Operations (REMOTE)

VP, LTSS – Health Care Operations (REMOTE)

Molina HealthcareCascade, MI, US
16 hours ago
Job type
  • Full-time
  • Remote
Job description

Job Description Provides executive level strategy and leadership to drive business performance of long-term services and supports for the enterprise which includes the operational and compliance management of the product line. Works with teams across the enterprise to assess, facilitate, plan, and coordinate best practices that deliver outcomes for members, with a focus on person-centered and strength-based activities of daily living support needs, community integration and stability goals for all populations and member progress towards independence. Analyzes clinical trends, operational / quality performance, and program evaluation that impacts member outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost-effective member care. ESSENTIAL JOB DUTIES : Supports executive strategy development, vision and direction for enterprise managed long-term services and supports (MLTSS) activities. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. Provides LTSS expertise to develop and execute strategic, tactical, and operational goals, in partnership with market and LTSS leadership and cross-functional partners, regarding implementation and management of programs that enable older adults and individuals with disabilities to live independently in a setting of their choice while improving health outcomes and quality of life. Ensures the overall level of quality for delivery of LTSS services meets or exceeds appropriate standards. Partners with operations, markets, and LTSS leadership to develop short and long-term financial and operational plans, as well as appropriate metrics required to strengthen the performance of the organization. Collaborates with growth leaders and departments across the organization to achieve strategic and corporate business objectives for LTSS business growth. Assesses, evaluates, and communicates LTSS’s overall performance, drivers of performance, opportunities, and risks, and plans for ensuring program success and reaching business objectives to a variety of audiences. Ensures that current reporting systems and oversight processes monitor and accurately identify relevant performance issues on a daily, weekly, and monthly basis. This includes both financial and key operating reporting systems and metrics, ensuring systems and processes accurately predict performance issues and allow for timely course corrections. Collaborates with operations leaders to ensure that plans are developed and implemented to address performance issues. Navigates and influences multiple cross-functional teams in a complex, matrix work environment, fostering and building a collaborative working environment with internal and external colleagues and constituents. Interprets national and state LTSS policy and regulatory guidance to understand business impact, and ensures programs are established to comply with all relevant federal, state, and local regulations. REQUIRED QUALIFICATIONS : At least 12 years of experience in health care leading state Medicaid long-term care services programs in a multi-faceted health plan, health care system, or similar service delivery organization, operational performance management, provider relationships, financial planning and budgeting, strategic planning, risk management, capital generation, revenue management (patient billing, revenue), controllership and internal audit, or equivalent combination of relevant education and experience. At least 7 years of previous experience managing and developing a team. Clinical Licensure and / or certification required ONLY if required by state contract, regulation, or state board mandate. Experience in working across regulatory agencies in program development and implementation. Experience in working across regulatory agencies in program development and implementation. Excellent organizational and time-management skills. Ability to work cross-collaboratively in a highly matrixed environment. Ability to lead change management and cross-enterprise initiatives. Flexibility in the work environment, willingness, and ability to adapt to changing organizational needs. Excellent verbal and written communication skills. Microsoft Office suite / applicable software program(s) proficiency. PREFERRED QUALIFICATIONS : Clinical licensure (e.g. Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), etc.). Experience leading a line of business or product line in managed health care. To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $186,201.39 - $363,093 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Create a job alert for this search

Remote • Cascade, MI, US

Related jobs
  • Promoted
LPN / LVN - Home Health

LPN / LVN - Home Health

Elara CaringNewaygo, MI, US
Full-time
Elara Caring is seeking a LPN / LVN Home Health for a job in Newaygo, Michigan.Job Description & Requirements.At Elara Caring, we have a unique opportunity to play a huge role in the growth of ...Show moreLast updated: 30+ days ago
  • Promoted
Travel Nurse RN - Acute Care - $2,127 per week

Travel Nurse RN - Acute Care - $2,127 per week

Vibra TravelsCascade, MI, US
Full-time
Vibra Travels is seeking a travel nurse RN Acute Care for a travel nursing job in Grand Rapids, Michigan.Job Description & Requirements Specialty : Acute Care Discipline : RN Duration : 13 weeks 36 ho...Show moreLast updated: 30+ days ago
  • Promoted
Licensed Practical Nurse (LPN)

Licensed Practical Nurse (LPN)

The Laurels of Sandy CreekWAYLAND, MI, United States
Full-time
Hour Day + Night Shifts Available.Flexible shift options available as well!.Want to make a difference in someone’s life every day? As a nurse with The Laurels of Sandy Creek, you will work as part ...Show moreLast updated: 30+ days ago
  • Promoted
Travel Nurse RN - PCU - Progressive Care Unit - $2,127 per week

Travel Nurse RN - PCU - Progressive Care Unit - $2,127 per week

Vibra TravelsCascade, MI, US
Full-time
Vibra Travels is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Grand Rapids, Michigan. Job Description & Requirements Specialty : PCU - Progressive Care Unit Disci...Show moreLast updated: 30+ days ago
  • Promoted
Registered Nurse (RN)

Registered Nurse (RN)

The Laurels of Carson CityCARSON CITY, MI, United States
Full-time
Sign On Bonus of $7,500 for Full Time.Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at T...Show moreLast updated: 30+ days ago
  • Promoted
LPN Manager

LPN Manager

Sunrise Senior LivingGrand Rapids, MI, United States
Full-time
When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships wi...Show moreLast updated: 18 days ago
  • Promoted
Lead Health & Wellness Specialist

Lead Health & Wellness Specialist

YMCA of Greater Grand RapidsLowell, MI, US
Part-time
Guiding Principles describe our behaviors to support our organization’s work throughout its life in all circumstances, irrespective of changes in goals, strategies, and leadership.Our Guiding...Show moreLast updated: 4 days ago
  • Promoted
Travel Nurse RN - Long Term Acute Care - $2,127 per week

Travel Nurse RN - Long Term Acute Care - $2,127 per week

Vibra TravelsCascade, MI, US
Full-time
Vibra Travels is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Grand Rapids, Michigan.Job Description & Requirements Specialty : Long Term Acute Care Discipline : RN Dura...Show moreLast updated: 30+ days ago
  • Promoted
Home Health Physical Therapist - $80K-120K per year

Home Health Physical Therapist - $80K-120K per year

Graham Healthcare GroupBelding, MI, United States
Full-time
Graham Healthcare Group is seeking a Home Health Physical Therapist for a job in Belding, Michigan.Job Description & Requirements. At Mary Free Bed at Home, we’re looking to add to our extraordinary...Show moreLast updated: 2 days ago
  • Promoted
Child and Adolescent Outpatient Licensed Therapist (LCSW, LPC, LMFT, LMSW)

Child and Adolescent Outpatient Licensed Therapist (LCSW, LPC, LMFT, LMSW)

LifeStance HealthPewamo, MI, US
Full-time
We are actively looking to hire talented Therapists in the area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healthcare.Int...Show moreLast updated: 10 days ago
  • Promoted
Care Review Clinician LPN / LVN

Care Review Clinician LPN / LVN

Molina HealthcareGrand Rapids, MI, United States
Full-time
Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...Show moreLast updated: 10 days ago
  • Promoted
Travel Nurse RN - Psych - $2,061 to $2,109 per week in Kent, MI

Travel Nurse RN - Psych - $2,061 to $2,109 per week in Kent, MI

TravelNurseSourceKent, MI, US
Full-time
TravelNurseSource is working with MUVE Healthcare LLC to find a qualified Psych RN in Kent, Michigan, 49548!.Join our team for an exciting travel nursing opportunity!. As a member of the interdiscip...Show moreLast updated: 30+ days ago
  • Promoted
Registered Nurse (RN) - Sign On Bonus

Registered Nurse (RN) - Sign On Bonus

The Laurels of Carson CityCARSON CITY, MI, United States
Full-time
Sign On Bonus of $7,500 for Full Time.Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at T...Show moreLast updated: 30+ days ago
  • Promoted
Licensed Marriage and Family Therapist (LMFT)

Licensed Marriage and Family Therapist (LMFT)

LifeStance HealthHoward City, MI, US
Full-time
We are actively looking to hire talented Therapists in the area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healthcare.Int...Show moreLast updated: 10 days ago
  • Promoted
Travel Nurse RN - Telemetry

Travel Nurse RN - Telemetry

Titan Medical GroupHastings, MI, United States
Full-time
WHEN YOU WORK FOR US, WE WORK FOR YOU.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment you...Show moreLast updated: 13 days ago
  • Promoted
LPN and RN Positions

LPN and RN Positions

Interim HealthCare of Western Michigan - StaffingGreenville, MI, US
Temporary
Licensed Practical Nurse (LPN) or Registered Nurse (RN).Not all nursing paths are the same—some are genuinely better.No doubt, nursing is a demanding profession, but as an LPN or RN for Inter...Show moreLast updated: 4 days ago
  • Promoted
Licensed Practical Nurse (LPN)

Licensed Practical Nurse (LPN)

The Laurels of Carson CityCARSON CITY, MI, United States
Full-time
Sign On Bonus of $5,000 for Full Time.Want to make a difference in someone’s life every day? As a nurse with The Laurels of Carson City, you will work as part of a team providing skilled nursing an...Show moreLast updated: 30+ days ago
  • Promoted
Outpatient Licensed Therapist (LCSW, LPC, LMSW, LMFT)

Outpatient Licensed Therapist (LCSW, LPC, LMSW, LMFT)

LifeStance HealthLake Odessa, MI, US
Full-time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 3 days ago
  • Promoted
Nurse Practitioner, Health Risk Assessments PRN Essex County NJ

Nurse Practitioner, Health Risk Assessments PRN Essex County NJ

HarmonyCaresBelding, MI, United States
Full-time
HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-bas...Show moreLast updated: 23 days ago
  • Promoted
Part Time Nurse Practitioner Iron, Michigan

Part Time Nurse Practitioner Iron, Michigan

Theoria MedicalByron Center, MI, United States
Part-time
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care.Theoria serves f...Show moreLast updated: 30+ days ago